Telford Free Trial Fortnight

Child's Full Name *

Child's Date of Birth *

Which venue would you like to attend?

Telford Hotel, Spa & Golf - Monday 2nd December Mercure Telford Centre Hotel - Tuesday 3rd December Telford Hotel, Spa & Golf - Monday 9th December Mercure Telford Centre Hotel - Tuesday 10th December

Please confirm your child's age group *

Floaties (0-9 months) Splashers (6-15 months) Kickers (15-30 months) Little Dippers (30months - 4 years)

Parent's Full Name *

Email Address *

Address including postcode *

Contact Telephone Number *

Emergency Contact Name (not your own) *

Emergency contact phone number *

Relationship to emergency contact *

Any medical conditions *

Your data *

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Telford Free Trial Fortnight

Free Trial Fortnight in Telford

Thank you so much for your Open Day visit request.

We will be in contact with you soon to organise this with you.

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